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General NPI Number Information
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NPI Number | 1194402156
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Entity Type | Organization
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Legal Business Name | CHERRY HILLS NEUROPSYCHOLOGY LLC
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Dates
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Enumeration Date | 06/30/2023
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 2659 COMMERCIAL ST SE STE 282
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City | SALEM
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State | OR
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Zip | 97302-4385
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Country | US
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Telephone | 971-301-4771
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Fax | 971-345-8179
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Provider Business Mailing Address
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Address Line | PO BOX 13883
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City | SALEM
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State | OR
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Zip | 97309-1883
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Country | US
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Telephone | 971-301-4771
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Fax |
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Authorized Official
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Title or Position | MEMBER, NEUROPSYCHOLOGIST
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Name | ASHLEY WATTS
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Credential | PHD
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Telephone | 971-301-4771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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